Department of Pathology, Virginia Commonwealth University Health System, Richmond, 23298, USA.
Arch Pathol Lab Med. 2012 Jan;136(1):53-60. doi: 10.5858/arpa.2011-0217-CP.
Correlation of radiologic and pathologic findings is important for optimal management of patients with image-guided breast biopsies.
To (1) evaluate the rates of radiologic and pathologic correlation in breast needle core biopsies, (2) evaluate laboratory and radiology practices associated with greater correlation rates, and (3) determine the rates at which the lack of radiologic-pathologic correlation is documented in pathology reports.
The study was offered and conducted as a College of American Pathologists voluntary Q-Probes program. Participants in this study retrospectively reviewed 30 consecutive, initial, diagnostic needle core biopsy cases performed for abnormal radiologic findings. If 12 months of accessioned cases were reviewed without identifying 30 qualifying cases, participants stopped the retrospective review and included all cases identified. For each case or specimen, the participants provided detailed information about the radiologic and pathologic findings.
In aggregate, a radiologic-pathologic correlation was found in 94.9% (1328 of 1399) of the cases reviewed, based on the participants' judgments. Significant differences in the correlation rates existed when cases were discussed at an interdepartmental, multidisciplinary conference (P < .001). No significant differences were found in the correlation rates of the following: whether surgeons or radiologists performed the biopsy, whether cores with calcifications were identified by any method, and whether the laboratory had one or more designated breast pathologists.
Participation in a multidisciplinary breast conference is useful in radiologic-pathologic correlation. Active involvement by pathologists in correlating pathologic and radiologic findings is important.
影像学和病理学表现的相关性对于接受影像引导下乳腺活检的患者的最佳管理非常重要。
（1）评估乳腺针芯活检中影像学和病理学相关性的比率；（2）评估与更高相关性比率相关的实验室和影像学实践；（3）确定在病理报告中记录影像学-病理学相关性缺失的比率。
该研究作为美国病理学家学院的自愿 Q-Probes 计划进行。本研究的参与者回顾性地审查了 30 例连续的、初始的、诊断性针芯活检病例，这些病例均因异常的影像学表现而进行。如果在 12 个月的入组病例中未发现 30 例符合条件的病例，则参与者停止回顾性审查并包括所有确定的病例。对于每个病例或标本，参与者提供了关于影像学和病理学发现的详细信息。
根据参与者的判断，在审查的 1399 例病例中，有 94.9%（1328 例）的病例发现了影像学-病理学相关性。在部门间、多学科会议上讨论病例时，相关性比率存在显著差异（P <.001）。在以下方面，相关性比率没有显著差异：外科医生或放射科医生进行活检、是否通过任何方法识别有钙化的核心、以及实验室是否有一个或多个指定的乳腺病理学家。
参加多学科乳腺会议有助于提高影像学-病理学相关性。病理学家积极参与相关的病理和影像学发现非常重要。
